Mr Derek B Eason, AGNP-C in Tempe, AZ - Medicare Nurse Practitioner

Mr Derek B Eason, AGNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Tempe, Arizona. His current practice location is 1492 S Mill Ave Ste 212, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 410-4128.

Mr Derek B Eason is licensed to practice in Arizona (license number 305255) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063272334.

Contact Information

	Mr Derek B Eason, AGNP-C
	1492 S Mill Ave Ste 212, Tempe, AZ 85281-5664
	(480) 410-4128
	(480) 410-4130

Map and Direction

Provider's Profile

Full Name	Mr Derek B Eason
Gender	Male
Speciality	Nurse Practitioner - Primary Care
Location	1492 S Mill Ave Ste 212, Tempe, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063272334
Provider Enumeration Date: 03/21/2024
Last Update Date: 03/21/2024

Medicare PECOS Information:

PECOS PAC ID: 9830538966
Enrollment ID: I20240422002339

Medical Identifiers

Medical identifiers for Mr Derek B Eason such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063272334	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	305255 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Derek B Eason allows following entities to bill medicare on his behalf.

Entity Name	Be Well Family Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225660111 PECOS PAC ID: 2163844986 Enrollment ID: O20200624002905

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Derek B Eason is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Derek B Eason, AGNP-C 1675 E Morten Ave Unit 1120, Phoenix, AZ 85020-4639 Ph: (801) 694-5382	Mr Derek B Eason, AGNP-C 1492 S Mill Ave Ste 212, Tempe, AZ 85281-5664 Ph: (480) 410-4128

Reviews and Comments

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Mr Derek B Eason, AGNP-C - Medicare Nurse Practitioner in Tempe, AZ